Abordagem cirúrgica conservadora de ceratocistos odontogênicos e seu potencial recidivante

Abstract

The odontogenic keratocyst is a form of developmental odontogenic cyst that presents aggressive behavior and a high rate of recurrence, due to this there is controversy in the literature regarding the best therapeutic modality, where there are radical treatments such as en bloc resection and conservative treatments such as marsupialization .The objective of the present work is to present a clinical case report of a male patient, 28 years old, Caucasian, who presented with an extensive radiolucent lesion, unilocular, with well-defined margins, in the posterior region of the mandible on the left side. This patient underwent conservative surgical treatment, with decompression followed by enucleation. Thus, we intend, in addition to the case description, to carry out a discussion on the various treatment modalities written in the literature, on the rates of relapses and also explore the modalities of conservative treatments, such as the application of Carnoy's solution after enucleation and decompression followed by enucleation, for example. As a consideration, we can list that conservative treatment techniques that relieve pressure within the cystic cavity, such as marsupialization/decompression, can be listed as the most cost-effective conservative treatment of Odontogenic Keratocyst, taking into account the low rate of recurrence, ease of surgical technique, lower risk of sequelae for the patient and low cost. The importance of this study is to inform professionals about the identification of this lesion and obtain the correct diagnosis, whether at an earlier stage, such as a radiographic finding or in more extensive cases with an appropriate approach to the situation.